Individual
DR. ROBERT W MECKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5879
(618) 257-6740
Mailing address
5667 COUNTRY CLUB RD, WASHINGTON, MO 63090-5242
(636) 221-1155
(636) 583-2166
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036113285
IL
207P00000X
Emergency Medicine Physician
2012003469
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00226791
RAILROAD MEDICARE
IL
Enumeration date
02/27/2007
Last updated
10/18/2024
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